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Third Party Reimbursement Third Party Reimbursement Survey 2006.

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Presentation on theme: "Third Party Reimbursement Third Party Reimbursement Survey 2006."— Presentation transcript:

1 Third Party Reimbursement Third Party Reimbursement Survey 2006

2 Where are we now? AAFCP Annual Meeting 2006

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13 The key to opening your program to recognition, growth, impact and accountability as a professional service Benefits of the Creighton Model FertilityCare System

14 What significance does that have? Nothing, absolutely nothing! Nothing, absolutely nothing!

15 Recognition Your program – a quality professional service That is how you want to view your program so that others recognize it in the same way. That is how you want to view your program so that others recognize it in the same way.

16 Growth When you have the attitude that your program is a professional service you open doors and help to create opportunities for growth. When you have the attitude that your program is a professional service you open doors and help to create opportunities for growth.

17 Impact and accountability Those providers and programs that serve clients with expert knowledge and concern and can demonstrate accountability for what and how they provide their services are the ones people ultimately turn to. Those providers and programs that serve clients with expert knowledge and concern and can demonstrate accountability for what and how they provide their services are the ones people ultimately turn to.

18 Impact and accountability The FertilityCare System demonstrates its accountability from the scientific, ethical, and moral perspective. The FertilityCare System demonstrates its accountability from the scientific, ethical, and moral perspective.

19 Third party payors Whether you are making a request for coverage on behalf of a client, or putting together a proposal to a group that is setting up a self insured status, the tool provides a comprehen- sive picture of our services. Whether you are making a request for coverage on behalf of a client, or putting together a proposal to a group that is setting up a self insured status, the tool provides a comprehen- sive picture of our services.

20 Media groups Media groups need to understand who and what we are before they can effectively market for us. Media groups need to understand who and what we are before they can effectively market for us. If the perspective of the person writing or speaking about you is that you are NFP and NFP is rhythm then that is how it will come across, consciously or unconsciously, in regard to tone and enthusiasm, as well as wording. If the perspective of the person writing or speaking about you is that you are NFP and NFP is rhythm then that is how it will come across, consciously or unconsciously, in regard to tone and enthusiasm, as well as wording.

21 Grants and fund raising partners Grants, corporate sponsors, and any potential funding sources need to know who you are. Grants, corporate sponsors, and any potential funding sources need to know who you are. The more completely, precisely, and professionally you can do that the greater your ability to compete for dollars. The more completely, precisely, and professionally you can do that the greater your ability to compete for dollars.

22 Establishment of a service or practitioner education program The “Benefits Booklet” is an attractive and informative tool to use as a basis for your presentation to hospitals, churches, health care or community agencies. The “Benefits Booklet” is an attractive and informative tool to use as a basis for your presentation to hospitals, churches, health care or community agencies.

23 Establishing collaborative working arrangements Potential Referral agencies: Potential Referral agencies: - county and state health departments - county and state health departments - public health nursing departments - public health nursing departments - clinics - clinics - community family service - community family service organizations organizations

24 A tool to assist and educate agencies that provide family planning educational materials Public health nursing departments Public health nursing departments County and state health departments County and state health departments Clinics Clinics Pregnancy Help centers Pregnancy Help centers Prenatal and birthing centers Prenatal and birthing centers Community family service programs Community family service programs

25 Your program’s referral list This booklet will help the people on your referral list understand and support your program and its philosophy in the best possible way. This booklet will help the people on your referral list understand and support your program and its philosophy in the best possible way.

26 Medical Consultants An excellent means for medical consultants to inform their office colleagues, as well as other doctors about the program. An excellent means for medical consultants to inform their office colleagues, as well as other doctors about the program.

27 Supportive church personnel The use of the booklet is a great way to inform priests, pastors, clergy, diocesan and church personnel about FertilityCare and how it can benefit the people they serve. The use of the booklet is a great way to inform priests, pastors, clergy, diocesan and church personnel about FertilityCare and how it can benefit the people they serve.

28 Potential contributors to your program People can contribute to our programs and the building up of the culture of life in many ways if we take the initiative to reach out to them and let them know who we are. That is why the Third Party Reimbursement Committee has put their time and energy into creating this tool for you. We hope you will use it to reach out to many people People can contribute to our programs and the building up of the culture of life in many ways if we take the initiative to reach out to them and let them know who we are. That is why the Third Party Reimbursement Committee has put their time and energy into creating this tool for you. We hope you will use it to reach out to many people

29 Third Party Reimbursement (Arch) Diocesan / Catholic Hospital Health Benefit Plans

30 The Time is Now! Investigate your hospital or (arch) diocesan health care plan’s benefits. Investigate your hospital or (arch) diocesan health care plan’s benefits. Sift through all the verbiage and fine print Sift through all the verbiage and fine print Peruse the mounds of endless papers that make up the policy Peruse the mounds of endless papers that make up the policy

31 Does the plan include or exclude payable benefits for… Contraceptive medications, devices or appliances Contraceptive medications, devices or appliances Treatment of infertility – IVF or artificial insemination Treatment of infertility – IVF or artificial insemination Elective sterilization Elective sterilization Elective abortions Elective abortions

32 Or, does the plan include or exclude payable benefits for… Natural Family Planning Natural Family Planning FertilityCare Services FertilityCare Services NaProTechnology NaProTechnology

33 Covered Plans Archdiocese of St. Louis, St. Louis, Missouri Archdiocese of St. Louis, St. Louis, Missouri Diocese of Lincoln, Lincoln, Nebraska Diocese of Lincoln, Lincoln, Nebraska St. John Mercy Medical Center, St. Louis, Missouri St. John Mercy Medical Center, St. Louis, Missouri St. Francis Medical Center, Peoria, Illinois St. Francis Medical Center, Peoria, Illinois St Elizabeth Regional Medical Center, Lincoln, Nebraska St Elizabeth Regional Medical Center, Lincoln, Nebraska

34 Challenge Powers at Be to Adhere to Catholic Church Teachings Request expenses eligible for reimbursement: Request expenses eligible for reimbursement: FertilityCare Services FertilityCare Services Natural Family Planning Natural Family Planning Request expenses not eligible for reimbursement: Request expenses not eligible for reimbursement: Anything that conflicts with Catholic Beliefs and Practices Anything that conflicts with Catholic Beliefs and Practices

35 Offer the Following: Letter to (Arch) Diocesan Bishop Letter to (Arch) Diocesan Bishop Introduce CrMS Introduce CrMS Illustrate system effectiveness Illustrate system effectiveness Provide copy of Journal of Reproductive Medicine article - June1998, Vol. 43, no. 6, pp. 495-502. Provide copy of Journal of Reproductive Medicine article - June1998, Vol. 43, no. 6, pp. 495-502. Explain Benefits of the CrMS Explain Benefits of the CrMS Provide booklet – Benefits of the CrMS Provide booklet – Benefits of the CrMS Describe NaProTechnology Describe NaProTechnology Provide Agents of Change article Provide Agents of Change article Offer copy of Women Healed Offer copy of Women Healed

36 Presentation Packet Sample letter to Bishop Sample letter to Bishop Exerts from Ethical and Religious Directives from USCCB Exerts from Ethical and Religious Directives from USCCB Effectiveness Study of CrMS Effectiveness Study of CrMS Agents of Change article Agents of Change article Benefits of the CREIGHTON MODEL Fertility Care System Benefits of the CREIGHTON MODEL Fertility Care ™ System American Academy of FertilityCare Professionals American Academy of FertilityCare Professionals


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